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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
A medication is ordered sublingual. How should the nurse administer the medication?
  1. Place the medication on top of the tongue.
  2. Place the medication between the gum and cheek.
  3. Instruct the patient to swallow the medication.
  4. Place the medication under the tongue.
2 .
A patient is ordered an enteric-coated medication PO (by mouth) TID (three times a day); however, the patient is having difficulty swallowing the tablet. What action should the nurse take?
  1. Contact the prescribing provider to discuss alternatives.
  2. Divide the tablet in half using a pill splitter.
  3. Dissolve the tablet in a small amount of liquid.
  4. Crush the tablet and place it in applesauce.
3 .
The nurse is preparing to administer insulin to a patient. What is the correct site for injecting this medication?
  1. the muscle
  2. the dermis
  3. the adipose tissue
  4. the vein
4 .
Which needle size would be most appropriate for administering either an intradermal (ID) or subcutaneous (SQ) injection?
  1. 0.5 in (13 mm), 26G
  2. 0.25 in (6.4 mm), 27G
  3. 5/8 in (16 mm), 28G
  4. 0.25 in (6.4 mm), 25G
5 .
Sterility is a key safety factor to consider when administering parenteral medications. Which equipment pieces must remain sterile?
  1. needle, syringe tip, flange
  2. barrel, needle shaft, plunger
  3. plunger, Luer-lock, needle hub
  4. Luer-lock, flange, needle cap
6 .
The nurse preceptor is working with a new graduate nurse. What statement by the new graduate nurse demonstrates a correct understanding of how parenteral medications work?
  1. “Compared to oral administration, medications administered via the parenteral route have a slower onset.”
  2. “Compared to oral administration, medications administered via the parenteral route provide weaker effects because they are not digested in the gastrointestinal tract.”
  3. “Medications administered via the parenteral route are affected by first-pass metabolism.”
  4. “The parenteral route is used for medication administration when a precise serum medication level is needed.”
7 .
The nurse is administering parenteral medications with a student nurse. What action would be of concern to the nurse?
  1. The student uses a hard surface to close the safety device on the needle.
  2. The student slowly injects the medication at a rate of 10 seconds per milliliter.
  3. The student cleanses the skin with an alcohol swab for thirty seconds and allows the site to dry for fifteen seconds.
  4. The student cleans the site from the center of the site and moves outward in a 2 in (5 cm) radius.
8 .
The nurse is preparing a medication from a glass ampule. What actions taken by the nurse would warrant further education?
  1. wiping the scored line with an alcohol swab before breaking the head off the ampule
  2. drawing up air equivalent to the amount of medication to be administered
  3. using a filtered needle to withdraw the medication from the ampule
  4. using a gauze to snap off the head of the ampule, away from the nurse’s body
9 .
The nurse is administering an intradermal injection. What is the proper technique for administering ID injections?
  1. Hold the syringe at a 10- to 15-degree angle from the site and insert the needle about 0.25 in (6.4 mm).
  2. Hold the syringe at a 10- to 20-degree angle from the site and insert the needle about 0.25 in (6.4 mm).
  3. Hold the syringe at a 5- to 15-degree angle from the site and insert the needle about 0.5 in (13 mm).
  4. Hold the syringe at a 10- to 20-degree angle from the site and insert the needle about 0.5 in (13 mm).
10 .
A patient comes into the clinic to have a tuberculosis (TB) skin test read. What describes the accurate procedure for reading the TB test results?
  1. Measure the width of the erythema.
  2. Document the test as positive if induration or erythema is noted.
  3. Measure the width of the induration.
  4. Document the test as negative if no induration or erythema is noted.
11 .
The nurse is preparing an ID injection. Which supplies are most appropriate for this procedure?
  1. a 27G, 0.5 in (13 mm) needle and a 1 mL hypodermic syringe
  2. a 27G, 0.25 in (6.4 mm) needle and a 3 mL hypodermic syringe
  3. a 27G needle and an insulin syringe
  4. a 27G needle and a tuberculin syringe
12 .
The nurse is preparing to administer an ID injection. What is the appropriate procedure for administering ID injections?
  1. Hold the syringe in the dominant hand between the thumb and forefinger, with the bevel of the needle up.
  2. Hold the syringe in the nondominant hand between the thumb and forefinger, with the bevel of the needle up.
  3. Hold the syringe in the dominant hand between the thumb and forefinger, with the bevel of the needle down.
  4. Hold the syringe in the nondominant hand between the thumb and forefinger, with the bevel of the needle down.
13 .
A patient is scheduled to come into the clinic for intradermal allergy testing. What action taken by the nurse has the highest priority?
  1. Monitor the patient for a reaction.
  2. Premedicate the patient with diphenhydramine (Benadryl).
  3. Ensure the availability of an emergency medicine kit.
  4. Ensure there is a sharps container nearby.
14 .
The nurse is preparing to administer an SQ injection. What is the appropriate procedure for administering subcutaneous injections?
  1. Massage the injection site after administering the medication.
  2. Aspirate before injecting the medication into the adipose tissue.
  3. Use a 5/8 to 1 in (16 to 25.4 mm) needle, depending on the amount of adipose tissue present.
  4. Inject at a 45- or 90-degree angle depending on the amount of fatty tissue present.
15 .
The nurse is administering an SQ injection to a patient. Which anatomical site should the nurse use?
  1. front side of the upper arm
  2. abdomen from below the costal margin to the iliac crest no closer than 1 in (2.5 cm) to the umbilicus
  3. on top of the thigh
  4. lower ventral gluteal region
16 .
The nurse is preparing to administer SQ insulin to a patient. What is true regarding administering insulin?
  1. Rotate the injection sites within one anatomical area each day.
  2. Rotate the injection sites to different anatomical areas each day.
  3. Insulin is absorbed the fastest in the arm.
  4. Prepare the insulin in a 2 mL syringe with a 3/8 in (9.5 mm) needle.
17 .
Which syringe would not be appropriate for administering a subcutaneous injection?
  1. U-100 insulin syringe
  2. 3 mL hypodermic syringe
  3. 1 mL tuberculin syringe
  4. 1 mL hypodermic syringe
18 .
What complication can develop as a result of not rotating SQ injection sites?
  1. extensive bruising
  2. lipohypertrophy
  3. erythema
  4. septicemia
19 .
The nurse is administering an IM injection to a patient using the ventrogluteal site. How would the nurse locate the site?
  1. Place three fingers across the deltoid muscle and below the acromion process.
  2. Locate the area that is one hand’s width below the greater trochanter and one hand’s width above the knee.
  3. Place the palm on the greater trochanter and the index finger on the anterior superior iliac spine.
  4. Visually divide the buttocks into four quadrants and use the upper, outer quadrant.
20 .
The nurse is preparing to administer an IM injection to a patient. Which best describes the nurse’s recommended hand movements?
  1. Move the dominant hand to steady the lower end of the barrel of the syringe and the nondominant hand to the end of the plunger.
  2. Move the nondominant hand to steady the needle and the dominant hand to the end of the plunger.
  3. Move the dominant hand to steady the needle and the nondominant hand to the end of the plunger.
  4. Move the nondominant hand to steady the lower end of the barrel of the syringe and the dominant hand to the end of the plunger.
21 .
During the administration of an IM injection, the patient complains of radiating pain, burning, and tingling down the affected leg. What action should the nurse take?
  1. Stop the injection and remove the needle.
  2. Inject a little bit more of the medication to see if the symptoms continue.
  3. Ensure the patient that the symptoms will go away as soon as the injection is over.
  4. Reposition the extremity before continuing with the injection.
22 .
The nurse is preparing to administer a hepatitis A vaccine intramuscularly. What is the best practice for administering this vaccine by the IM route?
  1. Inject the vaccine into the deltoid site.
  2. Aspirate prior to injecting the vaccine.
  3. Multiple vaccines should not be given in the same extremity.
  4. Inject the vaccine into the ventrogluteal site.
23 .
Mr. Lopez came into the clinic to receive an annual influenza vaccine. The nurse prepares the medication and plans to administer the vaccine in the deltoid muscle. Which anatomical landmark should be used to ensure the injection is administered safely?
  1. greater trochanter
  2. acromion process
  3. iliac crest
  4. knee
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